Mark Johnson examines the impact of the controversial Health & Social Care Bill on charities and social enterprises.
In the biggest shake-up of the NHS since its inception, 151 primary care trusts (PCTs) and 10 strategic health authorities will go and 24,500 manager posts will be lost. The reforms are expected to cost £1.4bn to implement according to government estimates (others have said nearer £3bn), but are expected to save £5bn by the end of 2014/15, principally through a 33% saving in administrative costs. The government's "pause and listen" exercise during June resulted in some cosmetic changes to the Bill, but the broad thrust of the proposals remains the same.
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